Mural Workshop Sign Up
Participant Details
Name *
Your answer
Date of Birth *
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Email Address *
Please use the email address you would like to sign into Google Classroom with - this cannot be a school email!
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Phone
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Do you have any support needs or medical conditions we should know about?
Let us know how we can best support you and what we can do to help you in the case of an emergency. eg. I like to have somewhere quiet to go to reset during workshops OR I have an anaphylactic allergy to X and carry an epipen with me
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Emergency Contact Details
Name *
Your answer
Email *
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Phone *
Your answer
Workshop Terms and Conditions, Member Rights and Responsibilities *
By signing up to a workshop, you agree to be bound by the Workshop Terms and Conditions and to abide by the Member Right and Responsibilities. Both can be viewed here: https://shopfront.org.au/workshop-terms-and-conditions/
Optional Reporting Info
Shopfront receives funding from Federal, State and Local governments. This funding requires us to report on the people we work with (that's you!). Rest assured, none of the information we report contains personally identifiable information and never will!
Do you identify as a person living with disability?
Do you identify as a person living with mental illness?
Do you speak a language other than English at home?
Were you born in a country other than Australia?
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